Active NPIOrganization

Esana Plastic Surgery Center And Medspa LLC

Surgery, Plastic and Reconstructive Surgery in New Haven, Connecticut

NPI Number1497290134
Practice location
1 Audubon St, Suite 201, New Haven, CT 06511-6433
Fax
718-672-4251
Last updated
January 5, 2017

Esana Plastic Surgery Center And Medspa LLC is a healthcare organization based in New Haven, CT. Esana Plastic Surgery Center And Medspa LLC practices in New Haven, CT. The NPI Number for Esana Plastic Surgery Center And Medspa LLC is 1497290134 and holds a License No. 41129 (CT). The current practice location address for Esana Plastic Surgery Center And Medspa LLC is 1 Audubon St, Suite 201, New Haven, CT 06511-6433 and can be reached out via phone at 206-592-7662 and via fax at 718-672-4251.

Provider Profile Details

NPI Number
1497290134
Provider Name
Esana Plastic Surgery Center And Medspa LLC
Provider Entity Type
Organization
Address
1 Audubon St, Suite 201, New Haven, CT 06511-6433
Phone Number
206-592-7662
Fax Number
718-672-4251
Primary Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X
Organization Subpart
No
Authorized Official
Dr. Deborah Pan, MD · Partner · 203-562-7662
Provider Enumeration Date
January 5, 2017
Last Update Date
January 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Audubon St
Suite 201
New Haven, CT 06511-6433
Zip
06511-6433
Phone Number
206-592-7662
Fax Number
718-672-4251
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
1 Audubon St
Suite 201
New Haven, CT 06511-6433
City
New Haven
State
CT
Zip
06511-6433
Phone Number
206-592-7662
Fax Number
718-672-4251

License Information

License Number
41129
License State
CT
Taxonomy
Surgery, Plastic and Reconstructive Surgery · 2086S0122X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Esana Plastic Surgery Center And Medspa LLC?

The NPI number of Esana Plastic Surgery Center And Medspa LLC is 1497290134. It was assigned on January 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Esana Plastic Surgery Center And Medspa LLC?

Esana Plastic Surgery Center And Medspa LLC is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in CT under license number 41129.

Where does Esana Plastic Surgery Center And Medspa LLC practice?

The practice location is 1 Audubon St, Suite 201, New Haven, CT 06511-6433. The office can be reached at 206-592-7662 (phone) or 718-672-4251 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497290134 directly on the NPPES registry website.

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